2025 CSLI Study Tour Registration on The Life and Faith of C.S. Lewis 
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Email *
Last Name: *
First Name: *
Middle Name:
Roommate Request: *
Payment Details
Flights are NOT included
Participants must arrange their own flights to Belfast and from Oxford.

For Double Occupancy: $3,999
Initial Deposit: $1,000 - on a first-come, first-served basis.
Final Payment: $2,999 - Due March 1, 2025

For Single Occupancy: $4,999
Initial Deposit: $1,000 - on a first-come, first-served basis.
Final Payment: $3,999 - Due March 1, 2025
Room Options: *
Street Address: *
City: *
State/Province: *
Postal Code: *
Country: *
Preferred Email Address: *
Preferred Phone #: *
Sex: *
Date of Birth: *
Citizenship: *
If you chose other, please specify your citizenship below:
Full Legal Name as on Passport: *
Passport Number: *
Passport Issue Date: *
Passport Expiration Date: *
Passport Place of Issue: *
Valid Passport Required *
Required
Minimum Number of Participants *
Required
Health Insurance *
Required
Travel Insurance  *
Required
Health Advisory & Special Accommodations *
Required
Liability  *
Required
Emergency Contact Information
Please enter your emergency contact details below.
Emergency Contact Name: *
Emergency Contact Street Address: *
Emergency Contact City: *
Emergency Contact State/Province: *
Emergency Contact Postal Code: *
Emergency Contact Email: *
Emergency Contact Phone #1: *
Emergency Contact Phone #2:

Deadlines:

*
Required

By signing or typing my name below, I acknowledge that I have read and fully understand the information contained in this registration form and verify the information I have provided as truthful and correct. I understand that due to limited space the trip is on a first come, first served basis. This agreement shall become effective only upon receipt of a completed application and $1,000 deposit to C.S. Lewis Institute 8001 Braddock Rd, Suite 301 Springfield, VA 22151.

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A copy of your responses will be emailed to the address you provided.
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